Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary.
World J Biol Psychiatry. 2019 Nov;20(9):691-702. doi: 10.1080/15622975.2018.1441547. Epub 2018 Mar 5.
To delineate task-free gamma activity in adult ADHD and healthy control subjects based on high-density EEG recordings. Relationship of gamma activity with symptom severity was also examined, since gamma activity is considered to be an index of network functions in the brain that underlie higher-order cognitive processes. Spontaneous EEG was recorded in adult ADHD subjects ( = 42; 25 methylphenidate-naïve and 17 on methylphenidate treatment) and controls ( = 59) with eyes open. EEG absolute power gamma was investigated in the gamma (30.25-39 Hz) and gamma (39.25-48 Hz) frequency bands. Gamma and gamma activity was diminished in ADHD compared with healthy control subjects. The difference between ADHD and controls was the most pronounced in the right centroparietal region for both gamma and gamma. Inverse associations were found between gamma and gamma activity and ADHD symptoms in centroparietal scalp regions. Gamma activity is reduced in adult ADHD, and the reduction has a predominantly right centroparietal distribution. Our findings are consistent with childhood ADHD literature with respect to diminished posterior gamma activity in patients, which may reflect altered dorsal attention network functions. Gamma abnormalities might provide a link between neurophysiological functioning and neuropsychological deficiencies, thereby offering an opportunity to investigate the neurobiological mechanisms that underlie the clinical symptoms of ADHD.
基于高密度 EEG 记录,描绘成人 ADHD 和健康对照组的无任务γ活动。还检查了γ活动与症状严重程度的关系,因为γ活动被认为是大脑网络功能的指标,而大脑网络功能是支持更高阶认知过程的基础。对成年 ADHD 患者( = 42;25 名未服用哌甲酯,17 名服用哌甲酯)和对照组( = 59)进行了睁眼时的自发 EEG 记录。在γ(30.25-39 Hz)和γ(39.25-48 Hz)频段研究了 EEG 绝对功率γ。与健康对照组相比,ADHD 患者的γ和γ活动减少。对于γ和γ,ADHD 与对照组之间的差异在右中央顶叶区域最为明显。在中央顶叶头皮区域发现γ和γ活动与 ADHD 症状之间存在负相关。成人 ADHD 中γ活动减少,且减少主要分布于右中央顶叶。我们的研究结果与儿童 ADHD 文献中患者后γ活动减少的结果一致,这可能反映了背侧注意网络功能改变。γ异常可能为神经生理功能与神经心理缺陷之间提供联系,从而有机会研究 ADHD 临床症状的神经生物学机制。